Slippery elm

[Pattib]

Hi all, have q few questions about the slippery elm powder. How should I space it with her metronidazole? She gets that in the AM after breakfast. Should I give SE with the evening meal? Also does anyone have any suggestions for names of a good multi vitamin, probiotic and B-12? I’m using CoB12alequin 250 mg tablets from Nutramax Labs and Pethonesty Probiotic 6 billion CFUs. We’re just limping along, not really knowing if I’m doing it right. She does better on the metronidazole that the Tylan so Vet switched her back to it, but only once a day. So that’s why I’m going to try the slippery elm too. She lost a few ounces in the last month from 10lbs to 9.5 Poops aren’t great but don’t know what else to do. Using Diane’s enzymes but noticed they don’t have the vitamin A,D or E that the Pancreved has so I think a multivitamin would be good?? Thank you so much for ant suggestions. You guys are mine and Tinkerbell’s saviors!

[Tuckaboo Pam]

We use Wonderlabs Pet Factor B12, intrinsic factor. $30 for 180 on Amazon.

[Tuckaboo Pam]

All different probiotics gave my dog the runs, so we had to stop them.--Pam

[Pattib]

Thank you for the info. Always so helpful. This website has saved my sanity and my pup’s life.

[faye grimm]

Is there a reason not to use straight human grade slippery elm powder?
My holistic vet suggested sprinkling a little on her food before the diagnosis for epi.

[Tuckaboo Pam]

The slippery elm I have, given to me by another member of the group, says nothing about being for pets/dogs.

[jilbert57]

No, no reason not to use human grade SE. I use a little no salt chicken broth warm and mix in and serve.

Jill

[Madelon]

Hi Patti. With regards to Slippery Elm Bark Powder you want to be sure you are using organic slippery elm from the inner bark. Most of us use either WonderLabs Slippery Elm or NOW Slippery Elm (you can get the NOW brand on Amazon). BE SURE TO MIX WITH WATER - slippery elm bark powder is a mucilage and dry powder and if not given with water can cause an emergency situation. Here is a link to the dosing information from our website https://epi4dogs.com/slippery-elm/. You can give it with the metronidazole and it should be given twice a day AM and PM feeding.

You said you are limping along. Can you give some specifics so we might be able to make some suggestions to help you? In the meantime I'll go over the EPI protocol in case you see something you might be missing.

ENZYMES: we recommend 1 level teaspoon per cup of kibble, mix with a little luke warm water, add kibble and sit 20-30 minutes before feeding

B12: we recommend either using the shot protocol in the beginning or using WonderLabs Pet Factor B12 pills - they have intrinsic factor which helps with B12 absorption

ANTIBIOTICS: if dealing with SID and unresolved after two weeks of following the enzyme, B12 and food protocol, then we recommend a 45 day course of Tylan and then slowly wean off

FOOD: we recommend grain free with 4% fiber or less - avoid peas and legumes - feed 150% of the food for the weight your dog should be but in smaller meals throughout the day.

We don't recommend using probiotics in the beginning because recent research has shown EPI dogs have too much of the lactibacillius strain which is in most probiotics and it's difficult to know if the probiotics are helping or making things worse. Once your dog is stable - good poops, weight gain - for a few months then you can try slowly adding a probiotic if you want. Just remember not all probiotics are the same and your pup may already have too much of a strain that you are giving which can make things worse.

If you can post here your current protocol that would be helpful so we can take a look at what's going on and see if there's something we can suggest to tweak. Hang in there, don't give up, we are all here to help you.

[jilbert57]

Hi Patti, if you are feeding a balanced diet there should be no reason for adding a multivitamin, unless your vet prescribed one specifically for your dog.

Also per the B12 protocol Madelon mentioned, any oral B12 MUST contain the added INTRINSIC FACTOR.

Jill

[Madelon]

Hi again Patti. I give Doc VetriScience Multivitamins, but this is not necessary in treating EPI. Here is a link to our page with research regarding vitamins and EPI dogs. https://epi4dogs.com/epi-research/. Just be sure to talk to your vet before giving anything so they can look into the product themselves as not all supplements are created equally and too much of a good thing can be a bad thing.

Here is a link to our page regarding oral B12. https://epi4dogs.com/b12-protocol/. Oral B12 does not have to have the intrinsic factor in it, HOWEVER, what we have found over the years is that the majority of our dogs do better on the oral B12 that has the intrinsic factor in it because intrinsic factor helps with B12 absorption. There is no way to know if the intrinsic factor in each EPI dog has been damaged or to what degree from SID, so we recommend using the pills that have the intrinsic factor in it as a precaution.